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  1. M

    Old Guys and Ladies: "Mother's Milk"?!?!

    The preview on TapaTalk just showed "Just saw a nurse this morning wrap a tongue depressor in gauze and shove it in..." which I found intriguing. The last few words were kind of a letdown. Is a pericardial thump still a thing?
  2. M

    Is it possible to pass after going all the way to 120 questions??

    I passed my Basic in the mid 70s and my medic at 80, but another guy I work with went up to 150 on his medic. Once you get up that high you're pretty much walking a fine line. I had another guy tell me his test stopped at 35 and he thought he did pretty well. Not so much.
  3. M

    Transporting a SOB back to res.

    Titrate to effect? Can't make this decision unless you're there to assess? High flow O2 is almost never the answer?
  4. M

    I'm almost afraid to ask... Blankets?

    "You have heated blankets, too?!? I'm going to call 911 more often and tie up a unit on nonsense while somebody dies on the sidewalk!" But no, seriously, that's really nice. I've had a lot of problems with my services commercial IV warmers over the past few years.
  5. M

    I'm almost afraid to ask... Blankets?

    If its cold, they're cold, exposed, scared, anxious, raining, windy/unpleasant -> blanket. IFT out of my local ED we make a brief stop at the blanket heater. I am a firm believer in the medicinal properties of a blanket fresh out of the blanket oven. I've seen some VERY sick people smile...
  6. M

    BGL-Capillary vs Venous

    This seems to be somewhat if a popular topic in the last couple of weeks. From my understanding... There are supposedly glucometers that are calibrated for both/either. I haven't seen one. I usually use a commercial one (One Step style meters) and they are usually calibrated for capillary...
  7. M

    What do you carry? - The mega thread

    No Knox Box style key vault? I don't know if I'm a mess or if I don't care or what... I carry a Pedi Wheel (quick, it's 2AM and you need to give a 3 year old adenosine) and a pen light.
  8. M

    draw medication out of a flacon

    You can have 2. I thought the question was about the name for the old rubber needle ports on drip sets. Those things terrify me. Hate using them in a moving truck.
  9. M

    draw medication out of a flacon

    gooooaaalll!!!!
  10. M

    massachusetts job openings

    Stat, too... They're moving in on the RI market. Just bought a smaller service about a year ago.
  11. M

    draw medication out of a flacon

    I wish I had the Green Whistle... Anybody in the US ever use it?
  12. M

    draw medication out of a flacon

    Wouldn't the "L"eur loc"K" be the current hooky uppy thing we use to attach syringes? *** opposed to the old school needle injection ports on the drip sets? Depending on what we get from the hospital pharmacy (were spoiled here) we'll get prefilled or vials OR carpujects. Recently got Lasix 100...
  13. M

    Thoughts on taking BGL as part of your assessment.

    "Nearly All Diabetics" I like this. I find that I check BGL far less often on diabetics than a do for any of the other listed categories above.
  14. M

    massachusetts job openings

    I have a lot of friends that work for alert. I have heard nothing but good things. I've thought about applying.
  15. M

    Providing "House coverage"

    My agency does exactly this. We're a combined paid professional/ volly service. We have 4 ambulances and do the town 911 and the local hospital's IFT, both BLS and CCT, to the tune of about 6,200 a year. When we have a big prolonged event or an exceptionally busy period we tone out a neighboring...
  16. M

    Paramedics Often Fail to Give Epinephrine for Anaphylaxis

    Stepping away from the dead horse and back towards medicine... Does anybody else have terbutaline in their bag of tricks for elderly/cardiac Hx? Thoughts? I've seen it be pretty effective.
  17. M

    options at this point...recommednations?

    Years of providing ALS care full time, understanding all the big words and some of the concepts while drinking cans of beer in my 1 bedroom apartment makes me lean towards Option C. Medic should not be the aspiration of a 24 y/o with a high school diploma. Don't be stupid. Go to med school...
  18. M

    best advice you have ever had or given

    "Sometimes it's a whole lot easier to just take them to the hospital than to take a refusal."
  19. M

    Can you sleep OTJ?

    7-3,3-11,11-7 8s, 16s and occasional 24s. I've had 18 calls on a 16 and one on a 24. So we aggressively nap when we can.
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